Mohawk Healthy Life Center At Antioch

LBN: Evernorth Direct Health Llc
Mohawk Healthy Life Center At Antioch is an health care organization with primary practice located at 2001 Antioch Rd , Dalton GA 30721-4622. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Evernorth Direct Health Llc can be contacted via phone (706) 275-7660, or through Heine, Kenny via phone (858) 625-2990.

Contact Information

Primary practice address
2001 Antioch Rd Dalton GA 30721-4622
Phone: (706) 275-7660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 625-2990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X RN213704 Georgia

Profile Details

NPI number 1609171917
LBN Legal business name Evernorth Direct Health Llc
DBA Doing business as Mohawk Healthy Life Center At Antioch
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 18th, 2011
Last updated May 3rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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